We are seeking a skilled and detail-oriented Health Plan Business Analyst with exceptional data analysis and Excel expertise for our healthcare client. In this role, you will play a crucial part in analyzing health plan data, identifying trends, and providing actionable insights to optimize our health plan offerings and improve overall operational efficiency.
Primary Responsibilities
Conduct thorough analysis of health plan data to extract meaningful insights and trends.
Develop and maintain reports, dashboards, and data visualizations to track key performance indicators (KPIs) and measure the effectiveness of health plan strategies.
Collaborate with cross-functional teams including actuaries, underwriters, and healthcare providers to interpret data and provide recommendations for business improvements.
Identify opportunities for cost savings, process efficiencies, and revenue enhancements within health plan operations.
Utilize advanced Excel functions and other data analysis tools to manipulate and analyze large datasets effectively.
Present findings and recommendations to stakeholders in clear and concise reports and presentations.
Assist in the development and implementation of new health plan initiatives, ensuring alignment with strategic goals and regulatory requirements.
Stay updated with industry trends, regulatory changes, and best practices to provide proactive insights and recommendations.
Education and Experience
Bachelor's degree in Business Administration, Health Care Administration, Data Analytics, or a related field; Master's degree preferred.
Proven experience as a Business Analyst or Data Analyst in the healthcare industry, specifically with health plan data.
Strong proficiency in Excel (pivot tables, advanced formulas, macros) and other data analysis tools (SQL, Tableau, Power BI, etc.).
Solid understanding of health plan operations, including claims processing, provider networks, and member enrollment.
Excellent analytical and problem-solving skills with the ability to translate data into actionable insights.
Effective communication skills with the ability to present complex information clearly and concisely to diverse audiences.
Detail-oriented with a strong commitment to accuracy and data integrity.
Ability to work independently and collaboratively in a fast-paced environment, managing multiple priorities effectively.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Analyst and Information Technology
Industries
IT Services and IT Consulting and Hospitals and Health Care
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